Lead-Based Paint Disclosure

Purpose: This disclosure is required for the sale or lease of any residential property constructed prior to 1978. The intent is to inform buyers or tenants about the possible presence of lead-based paint hazards.

Property Information

Seller/Lessor: {sellerName}

Buyer/Lessee: {buyerName}

Property Address: {propertyAddress}

Year Built: {yearBuilt}

Disclosure

Presence of lead-based paint and/or lead-based paint hazards:

{#leadPaintKnown}The seller/lessor has knowledge of lead-based paint and/or lead-based paint hazards at the property.{/leadPaintKnown} {^leadPaintKnown}The seller/lessor has no knowledge of lead-based paint and/or lead-based paint hazards at the property.{/leadPaintKnown}

Records and reports available to the seller/lessor:

{#hasReports}The seller/lessor has provided the buyer/lessee with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards at the property.{/hasReports} {^hasReports}The seller/lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards at the property.{/hasReports}

Buyer/Lessee Acknowledgment

The buyer/lessee acknowledges receipt of:

{#buyerReceivedDisclosure}

• Information on lead-based paint and/or lead-based paint hazards in the property.

{/buyerReceivedDisclosure}

{#buyerReceivedPamphlet}

• The EPA pamphlet titled "Protect Your Family from Lead in Your Home."

{/buyerReceivedPamphlet}

Agent’s Acknowledgment

{#agentInvolved}The agent has informed the seller/lessor of the seller’s/lessor’s obligations under 42 U.S.C. 4852(d) and is aware of their responsibility to ensure compliance.{/agentInvolved} {^agentInvolved}No agent is involved in this transaction.{/agentInvolved}

Signatures